Claim total
$1,388.98
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Ischemic heart disease414545008
- Start
- 1973-04-11
- Stop
- 1973-04-11
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Melba Langosh
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer No insurance
Record id
0302711f-bc3a-898e-9aff-d9fd3c1ffe5e